VascularPub Date : 2025-02-01Epub Date: 2024-03-13DOI: 10.1177/17085381241239428
Ryan Gedney, Christian Barksdale, Antwana Sharee Wright, Elizabeth A Genovese, Jean Marie Ruddy
{"title":"Hostile neck anatomy contributes to higher rates of reintervention following endovascular aortic repair for ruptured infrarenal abdominal aortic aneurysm.","authors":"Ryan Gedney, Christian Barksdale, Antwana Sharee Wright, Elizabeth A Genovese, Jean Marie Ruddy","doi":"10.1177/17085381241239428","DOIUrl":"10.1177/17085381241239428","url":null,"abstract":"<p><strong>Introduction: </strong>Ruptured abdominal aortic aneurysms (AAA) presenting with hostile neck anatomy can represent a challenge in surgical decision-making. We hypothesized that, patients who require reinterventions have higher rates of compromised neck anatomy at initial presentation and may indicate a need for altered surveillance paradigm.</p><p><strong>Methods: </strong>Patients presenting with ruptured AAA to a single tertiary care institution from 2014 to 2021 were retrospectively reviewed. Those treated with infrarenal EVAR, with no prior aortic surgeries, and with available pre-operative computed tomography (CT) scans were included. Demographics, timing and type of reintervention, follow-up, and survival were collected. CT scans were assessed for hostile neck anatomy via measurements of diameter, length, angle, taper, bulge, calcification, and thrombus. Demographics, comorbidities, and neck anatomy of those with and without reintervention were compared using Fischer's Exact and Student's T-test. Survival was analyzed via Kaplan-Meier and log-rank test.</p><p><strong>Results: </strong>Eighty-nine patients were available for analysis, 37 of which met inclusion criteria. Intraoperative death occurred in 3 patients (8.1%) and 1 patient (2.7%) was intraoperatively converted to an open repair. Thirty-day and 1-year survival were 97% and 91%, respectively. The reintervention rate was 30% (<i>n</i> = 10), occurring at a median of 200 days (18-2053 days) after the index operation. All patients requiring reintervention met hostile neck criteria (<i>p</i> = .002) and had a statistically higher number of hostile neck criteria (1.80 vs 0.87, <i>p</i> = .03). Thirty percent (<i>n</i> = 3) of patients that received a reintervention had neck diameter greater than 3 cm, compared to zero patients in the non-reintervention group (<i>p</i> = .022). Proximal reinterventions (<i>n</i> = 5) had statistically higher neck diameters and neck angle compared to the non-reintervention group.</p><p><strong>Conclusion: </strong>Infrarenal rEVAR is effective at preventing acute mortality despite specific anatomic considerations that may contribute to the higher reintervention rates, and therefore those parameters ought to be considered when following patients in the post-intervention period.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"132-138"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11393178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140120756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
VascularPub Date : 2025-02-01Epub Date: 2024-03-04DOI: 10.1177/17085381241238042
Michael James, Viren S Sehgal, Rooshi Parikh
{"title":"\"Unveiling the invisible: Harnessing AI for carotid web diagnosis-A futuristic approach to enhance vascular healthcare\".","authors":"Michael James, Viren S Sehgal, Rooshi Parikh","doi":"10.1177/17085381241238042","DOIUrl":"10.1177/17085381241238042","url":null,"abstract":"","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"238-239"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
VascularPub Date : 2025-02-01Epub Date: 2024-03-07DOI: 10.1177/17085381241238041
Abdulmajeed Altoijry
{"title":"Thoracic endovascular repair of descending thoracic aorta aneurysm using thoracic stent graft in a challenging complex patient: An innovative access technique during an emergency using a mini-thoracotomy approach.","authors":"Abdulmajeed Altoijry","doi":"10.1177/17085381241238041","DOIUrl":"10.1177/17085381241238041","url":null,"abstract":"<p><strong>Objectives: </strong>Repairing thoracic aortic aneurysms with endovascular aortic repair (TEVAR) is a safe and minimally invasive method with low morbidity and short postoperative recovery. We developed a novel method to treat descending thoracic aortic aneurysms using a mini-thoracotomy approach in complex patients with difficult access.</p><p><strong>Methods: </strong>A 56-year-old male patient presented with a 3-day history of chest pain. His past surgical history included infrarenal aortic ligation and right axillobifemoral bypass. Thoracic computed tomography angiography (CTA) revealed a saccular aortic aneurysmal dilatation at zone 2 measuring 4.4 × 4 cm. Owing to his surgical history, vascular access through the femoral and iliac arteries or abdominal aorta was impossible. We developed a new technique using a left posterolateral mini-thoracotomy approach to gain vascular access and perform TEVAR, avoiding the need for an open thoracotomy repair.</p><p><strong>Results and conclusions: </strong>Thoracic CTA performed before discharge revealed complete aneurysmal exclusion and no endoleaks. Postoperative follow-up CTA (6 months and annually thereafter) revealed no aneurysm formation or aortic restenosis. The femoral artery, followed by the iliac artery, is the traditional access route for TEVAR. Left posterolateral mini-thoracotomy may be required as an alternative access in complex patients.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"127-131"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140060663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
VascularPub Date : 2025-02-01Epub Date: 2024-03-01DOI: 10.1177/17085381241237125
Lei Wang, Miao Xu, Zhaolei Chen, Guoqing Jiang
{"title":"Conservative versus stent treatment for spontaneous isolated superior mesenteric artery dissection after the failure of initial 3 days' conservative treatment: A 10-year follow-up study.","authors":"Lei Wang, Miao Xu, Zhaolei Chen, Guoqing Jiang","doi":"10.1177/17085381241237125","DOIUrl":"10.1177/17085381241237125","url":null,"abstract":"<p><strong>Objectives: </strong>To compare the safety and effectiveness of conservative and stent treatment for spontaneous isolated superior mesenteric artery dissection (SISMAD) patients after the failure of initial 3 days' conservative treatment.</p><p><strong>Methods: </strong>All newly diagnosed SISMAD patients between 2013 and 2017 were retrospectively reviewed. After the failure of 3 days' conservative treatment, all patients were recommended for stent treatment, but some patients refused to choose it. Their demographic, radiologic, and clinical data were compared.</p><p><strong>Results: </strong>57 patients were not improved after initial 3 days' conservative treatment. Among them, 19 patients were chose to receive stent placement and 38 patients were continually treated with conservative treatment. The median follow-up time was 92.0 (range 62.7-120.4) months. There were no bowel ischemia and arterial rupture. No significant difference was observed in clinical complete recovery (Conservative 31/38 vs Stent 12/19, <i>p</i> =.19) and hospitalization time (Conservative 8.3 ± 1.7 days vs Stent 7.2 ± 1.5 days, <i>p</i> =.59) between conservative and stent treatment groups. Significant statistical differences were found in radiological complete remodeling (6/38 vs 16/19, <i>p</i> < .01) and hospitalization expense (8662 ± 2886 China Yuan vs 32,935 ± 11,767 China Yuan, <i>p</i> < .01) between these two groups.</p><p><strong>Conclusions: </strong>Although undergoing the failure of initial 3 days' conservative treatment, continue conservative treatment still is safe and effective for SISMAD patients. Stent placement could be chosen as an alternative treatment, especially for patients potentially with bowel ischemia or arterial rupture.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"96-101"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140013365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
VascularPub Date : 2025-02-01Epub Date: 2024-03-05DOI: 10.1177/17085381241237843
Max Murray-Ramcharan, Brian Donaldson, Syed Ali Raza Rizvi
{"title":"Short-term patency of iliofemoral to tibial bypass with vascular allografts in a minority population: A retrospective analysis of a single center acute care facility.","authors":"Max Murray-Ramcharan, Brian Donaldson, Syed Ali Raza Rizvi","doi":"10.1177/17085381241237843","DOIUrl":"10.1177/17085381241237843","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to examine the short-term patency rates and associated factors of open lower limb, iliofemoral to tibial bypass using cryopreserved saphenous vein (CSV) in a minority population at an acute care hospital in New York City.</p><p><strong>Methods: </strong>A retrospective analysis of patients undergoing infra-inguinal bypass from iliofemoral vessels to tibial arteries with CSV between March 2020-April 2022 at an acute care facility (Harlem Hospital Center, Harlem, New York) was performed. Data including patient demographics, comorbidities, type of operation, follow-up surveillance, and salvage procedures were collected. Results were presented in patency line graphs and a life table. Target limb revascularization (TLR) and amputation free survival (AFS) were also calculated.</p><p><strong>Results: </strong>Eleven bypass procedures were included in the analysis. Patients were followed for a mean of 10.8 months. Cumulative primary patency rates at 1, 6, and 12 months were 72.7%, 54.5%, and 40.9%, respectively. TLR was 36.4% and the AFS was 66.67% at the mean 10.8-month follow-up.</p><p><strong>Conclusions: </strong>The patency rates of minority patients undergoing bypass with CSV were analyzed with creation of a life table and calculation of patency rates, TLR and AFS. The short-term primary patency rates and post-operative outcomes were found to be comparable to larger studies in non-minority cohorts. These results suggest that larger studies as well as prospective analyses and randomized controlled trials in this patient cohort and demographic are needed, as well as optimal selection of patients to determine true clinical implications.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"66-72"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
VascularPub Date : 2025-02-01Epub Date: 2024-03-05DOI: 10.1177/17085381241237005
Ivy Lee, Sasha Suarez, Ryan Hall, Monica Majumdar, Tiffany Bellomo, Samuel Jessula, Kathryn Nuzzolo, Douglas M Jefferson, Nikolaos Zacharias, Anahita Dua
{"title":"Optimizing platelet inhibition in peripheral artery disease: A comparison of mono-antiplatelet therapy and dual-antiplatelet therapy using thromboelastography.","authors":"Ivy Lee, Sasha Suarez, Ryan Hall, Monica Majumdar, Tiffany Bellomo, Samuel Jessula, Kathryn Nuzzolo, Douglas M Jefferson, Nikolaos Zacharias, Anahita Dua","doi":"10.1177/17085381241237005","DOIUrl":"10.1177/17085381241237005","url":null,"abstract":"<p><strong>Background: </strong>Antiplatelet therapy is used to prevent thrombosis in patients with peripheral artery disease (PAD) following revascularization. However, the current standard of care for these patients remains at the physician's discretion, varying from mono-antiplatelet therapy (MAPT) to dual-antiplatelet therapy (DAPT). Viscoelastic assays such as Thromboelastography with Platelet Mapping (TEG-PM) provide insight into individual coagulation profiles and measure real-time platelet function. This prospective, observational study looks at the differences in platelet function for patients on MAPT versus DAPT using TEG-PM.</p><p><strong>Methods: </strong>Patients with PAD undergoing revascularization were prospectively evaluated between December 2020 and June 2023. TEG-PM analysis compared platelet function for patients prescribed MAPT (aspirin or clopidogrel) at the initial encounter and DAPT (aspirin and clopidogrel) at the next visit. Platelet function measured in percent inhibition was evaluated at these visits, and within-group t-tests were performed.</p><p><strong>Results: </strong>Of the 195 patients enrolled, 486 samples were analyzed by TEG-PM. Sixty-four patients met the study criteria. At the initial visit, 52 patients had been prescribed aspirin, and 12 patients had been prescribed clopidogrel. For patients initially prescribed aspirin MAPT, an increase of 96.8%in the mean ADP platelet inhibition was exhibited when transitioning to DAPT [22.0% vs. 43.3%, <i>p <</i> .01], as well as an increase of 34.6%in the mean AA platelet inhibition when transitioning to DAPT [60.9% vs. 82.0%, <i>p <</i> .01]. For patients prescribed initial clopidogrel MAPT, an increase of 100% in AA platelet inhibition was exhibited on DAPT compared to the MAPT state [42.3% vs. 84.6%, <i>p < .</i>01].</p><p><strong>Conclusions: </strong>Patients on DAPT showed a significant increase in platelet inhibition when compared to initial aspirin MAPT. A significant difference in AA %platelet inhibition was shown for patients on DAPT when compared to initial clopidogrel MAPT. The results show that patients may benefit from DAPT post-revascularization. Personalizing antiplatelet therapy with objective viscoelastic testing to confirm adequate treatment may be the next step in optimizing patient outcomes to reduce thrombosis in PAD patients.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"3-18"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140029054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
VascularPub Date : 2025-02-01Epub Date: 2024-02-27DOI: 10.1177/17085381241236927
Hakan Guven
{"title":"Endovenous glue ablation for chronic venous insufficiency: A comprehensive 5-year assessment of clinical and hemodynamic outcomes.","authors":"Hakan Guven","doi":"10.1177/17085381241236927","DOIUrl":"10.1177/17085381241236927","url":null,"abstract":"<p><strong>Objectives: </strong>Chronic venous insufficiency is mainly caused by reflux, obstruction, or both. Endovenous glue ablation has become one of the widely used methods for treating reflux in recent years. Duplex ultrasonography is the most commonly used method for diagnosing and evaluating treatment. However, there is important information that plethysmographic venous hemodynamics provides, which Duplex USG cannot provide. This retrospective study aimed to evaluate the 5-year clinical, anatomical, and hemodynamic results of endovenous glue ablation in the treatment of chronic venous insufficience, accompanied by the data from the plethysmographic study.</p><p><strong>Patients and method: </strong>Between January 2018 and August 2018, 133 patients with symptomatic CEAP 2-6 varicose veins with reflux of the great saphenous vein lasting longer than 0.5 seconds and a diameter of 5.5 mm in the standing great saphenous vein underwent EVGA. CEAP, VCSS, CIVIQ 20, Doppler USG, GSV diameters and insufficiency times, and hemodynamically Venous Refilling Time and Venous Half-Value Time measurements were performed before the procedure. In the same way, measurements were made at the 1st, 3rd, 6th, 12th, 24th, and 60th months of the patients who were called and came to the postoperative follow-up.</p><p><strong>Results: </strong>Procedural success was 100%, and complete occlusion was observed %93 after treatment, at the 60 month. The improvement in VCSS (from 4.4 ± 1.3 to 1.7 ± 0.9), CIVIQ20 (from 8.5 ± 3.1 to 4.7 ± 2.0), VRT (from 20.3 ± 5.0 to 131.1 ± 4.0), and TH (from 2.8 ± 0.3 to 2.4 ± 0.2) was significant (<i>p</i> < .001 was for all).</p><p><strong>Conclusion: </strong>Endovenous glue ablation is a preferred method for the treatment of great saphenous vein insufficiency due to its ease of use and the comfort it provides to patients, as well as its effectiveness and safety. In particular, it can be considered an effective method for improving venous hemodynamics and relieving associated symptoms.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"174-181"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139983882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
VascularPub Date : 2025-02-01Epub Date: 2024-03-03DOI: 10.1177/17085381241237146
Ibrahim Donmez, Ayhan Muduroglu
{"title":"Systemic immune-inflammation index as a novel hematological marker for predicting the recurrence of deep venous thrombosis.","authors":"Ibrahim Donmez, Ayhan Muduroglu","doi":"10.1177/17085381241237146","DOIUrl":"10.1177/17085381241237146","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether there was a possible predictive relationship between systemic immune-inflammation index (SII) and recurrence of deep venous thrombosis (DVT).</p><p><strong>Methods: </strong>A total of 231 patients with DVT who met the study criteria and whose data could be accessed were enrolled to this retrospective single-centered cross-sectional study. Of them 26 patients with DVT recurrence consisted of the study group (Group 1) while remaining 205 cases without recurrence were considered as the control population (Group 2). The patients' basic clinical features and laboratory results from the complete blood count (CBC) test were recorded and compared between groups. Following univariate analyses, a multivariate logistic regression analysis was performed to identify the independent predictors of the recurrence of DVT. Additionally, a receiver-operating characteristic (ROC) curve analysis was performed to detect the cut-off values of the predictors with sensitivity and specificity rates.</p><p><strong>Results: </strong>There were no significant differences between the groups for basic clinical features, except for diabetes mellitus, pulmonary embolism, and atrial fibrillation. Although the univariate analysis revealed that the median values of NLR, PLR, and SII were significantly higher in the DVT recurrence group, only SII was determined to be a significant and independent predictor of DVT recurrence in the multivariate logistic regression analysis. According to ROC curve analysis, SII of 1685 × 10<sup>3</sup>/mm<sup>3</sup> constituted the cut-off value for predicting DVT recurrence with 61.5% sensitivity and 76.6% specificity (AUC = 0.686, <i>p</i> = .001).</p><p><strong>Conclusion: </strong>The present study demonstrated for the first time in the literature that SII significantly predicted the recurrence of DVT.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"167-173"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140022672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
VascularPub Date : 2025-02-01Epub Date: 2024-03-15DOI: 10.1177/17085381241240554
Qingcheng Yang, Xuechang Wang, Rui Wang, Aihua Li
{"title":"Diagnosis and treatment of venous thromboembolism during pregnancy relate to genetic polymorphism.","authors":"Qingcheng Yang, Xuechang Wang, Rui Wang, Aihua Li","doi":"10.1177/17085381241240554","DOIUrl":"10.1177/17085381241240554","url":null,"abstract":"<p><strong>Objectives: </strong>Previous research had shown that age, a positive family history, comorbidities, major surgical operations, gestation, and use of several medications could increase the incidence of venous thromboembolism (VTE). With the development of medical and clinical individualized treatment, many people exposed to above risk factors did not develop VTE, suggested that genetic factors are also involved in the development of VTE. In this review, we aim to summarize VTE diagnosis and treatment in pregnancy women related to gene polymorphism.</p><p><strong>Methods: </strong>A comprehensive electronic search using PubMed, MEDLINE, EMBASE and Web of Science was conducted to find relevant journal articles with key search terms including: \"pregnancy OR pregnant,\" \"venous thromboembolism OR VTE,\" \"deep vein thrombosis OR DVT,\" \"pulmonary embolism OR PE,\" and \"genetic OR gene.\" Prominent publications from establishment of database till present were analysed to achieve a deeper understanding of VTE during pregnancy relate to genetic polymorphism, and the information was then collated to form this review.</p><p><strong>Results: </strong>The literature review revealed that inherited thrombophilia significantly associated with the development of VTE, especially the factor V Leiden (FVL) and prothrombin gene mutation (PGM). Furthermore, the role of methylenetetrahydrofolate reductase (MTHFR) gene mutation in the development of pregnancy-related VTE remains controversial, further study is required. In the present study, Marburg I polymorphism (G511 E), c.1538 G>A and c.1601 G>A in Factor V (FV), JAK2V617 F mutation were reported as an independent risk factor for VTE, there is no sufficient evidence to confirm the gene mutation is related to VTE during pregnancy, these factors appearing as another promising potential diagnostic marker of VTE during pregnancy. Besides, the dosages of heparin in the treatment of VTE during pregnancy need be adjusted according to gene polymorphism of these population, particularly FVL or PGM carriers, and this area is not studied deeply, it is worth further study.</p><p><strong>Conclusion: </strong>Inherited thrombophilia significantly associated with the development of VTE, especially the FVL and PGM, however the relation between MTHFR gene mutation and pregnancy-related VTE remains controversial, further study is needed. In addition, the dosages of heparin in the treatment of VTE during pregnancy suggested to adjusted based on gene polymorphism in FVL and PGM, and establish better prediction models is a direction of future research.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"186-191"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140137244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
VascularPub Date : 2025-02-01Epub Date: 2024-03-18DOI: 10.1177/17085381241241108
Chenghao Wang, Qingquan Liu, Dalei Xiao, Xiaohua Chen, Rong Liu, Shikai Wang
{"title":"Laparoscopic-assisted retrieval of inferior vena cava filter: A case report and literature review.","authors":"Chenghao Wang, Qingquan Liu, Dalei Xiao, Xiaohua Chen, Rong Liu, Shikai Wang","doi":"10.1177/17085381241241108","DOIUrl":"10.1177/17085381241241108","url":null,"abstract":"<p><strong>Background: </strong>The retrieval of inferior vena cava filters beyond the retrieval window poses challenges, requiring alternative techniques.</p><p><strong>Objectives: </strong>To discuss the laparoscopy-assisted retrieval approach for difficult inferior vena cava filters.</p><p><strong>Research design: </strong>Case report.</p><p><strong>Subjects: </strong>A 57-year-old male with a retrievable inferior vena cava filter placed 8 months prior.</p><p><strong>Measures: </strong>Laparoscopy-assisted retrieval technique utilized after unsuccessful interventional attempts.</p><p><strong>Results: </strong>Successful retrieval of the filter despite thickened intimal tissue involvement, with no postoperative complications.</p><p><strong>Conclusions: </strong>Laparoscopy-assisted retrieval offers a direct visual approach for challenging filter removal, proving minimally invasive, safe, and effective.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"200-204"},"PeriodicalIF":1.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140159167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}